Posted in Access to healthcare, Affordable Care Act (ObamaCare), American Exceptionalism, American Presidents, Dependency, Economic Issues, Entitlements, Free Society, government incompetence, Government Regulations, Healthcare financing, Independent Physicians, Liberty, Medical Costs, Patient Choice, Patient Safety, Philosophy, Policy Issues, Uncategorized

Propaganda, Pandering, and Politics – AAPS | Association of American Physicians and Surgeons

Marilyn M. Singleton, MD, JD

“It sounds so virtuous to insist that “healthcare is a right.” Thus, if you do not believe medical care should be free, you are not a moral person.

This technique echoes Aldous Huxley’s view that “the propagandist’s purpose is to make one set of people forget that the other set is human.” (Of course, bearing arms is a constitutional right, but guns are not given away for free. Indeed, gunowners are thought by some to be horrible people).

Free medical care for all is short, simple, and seductive.

The promise: Medical services are free.

Reality: Government may deny the request for prior authorization for your treatment, or ration treatments for older folks, such as hip and knee replacements and cataract surgery.

In the government health system 307,000 Veterans might have died waiting for medical care.

The promise: Drugs are free.

Reality: The medication your physician thinks is best for you is not on the government’s formulary.

The promise: There are no out-of-pocket costs.

Reality: Private health insurance is abolished, leaving no consumer choice.

The promise: It’s free!

Reality: Your taxes will be raised to heights unknown.

“Free” is America’s new verbal Potemkin village of health care, where Susie gets a free birth if she survives her abortion, free medical care for life, and even free food. All Susie has to do for herself is breathe.

This is a panderer’s view of America. In fact, we are a country of individuals who want to govern their own lives and of physicians who want the freedom to properly care for their patients.”

Source: Propaganda, Pandering, and Politics – AAPS | Association of American Physicians and Surgeons

Posted in Access to healthcare, Affordable Care Act (ObamaCare), Direct-Pay Medicine, Direct-Pay Practice Models, Economic Issues, Health Insurance, Healthcare financing, Individual Market, Insurance subsidies, Medicaid, Medicaid Expansion, Medical Costs, News From Washington, Patient Safety, Policy Issues, Reforming Medicaid, Subsidies, Uncategorized

Options Will Increase, Sky Will Not Fall, If ACA Ends

For example, the AMA complains that hundreds of millions would be at risk of losing “coverage.” In fact, only a net 1.7 million people gained private coverageunder ACA, after subtracting the nearly 6 million who lost it, at a shocking cost of $341 billion or $200,000 per newly insured person. Most of the claimed increased coverage came from expanding Medicaid to childless, able-bodied adults. This reduced access to services by the sickest patients, and at least 21,904 patients died on Medicaid waiting lists according to a 2018 report.

Without ACA and its unaffordable requirements, Americans would have many more options to buy affordable insurance. Instead of paying as much as a mortgage payment for “coverage” they are unlikely to use, they might join a DPC (direct primary care) practice and get preventive care and routine medical treatment for at as little as $50/month. They might buy catastrophes-only major medical insurance that ACA outlaws for persons over 30 years of age. Congress might enact Health Freedom Accounts as proposed by Rep. Chip Roy (R-Tex.) and liberalize Health Reimbursement Accounts.

https://mailchi.mp/aapsonline/aca-standing-639035?e=f50410ece3

Posted in Access to healthcare, British National Health Service, Dependency, Health Insurance, Healthcare financing, News From Washington, Patient Choice, Patient Safety, Policy Issues, Uncategorized

Hoaxes, Scams, and Your Medical Care – AAPS | Association of American Physicians and Surgeons

Marilyn Singleton

“…we continue to have a slew of healthcare hoaxes: corporate stakeholders, legislators, and government agencies promise everything and have no accountability for their failure to keep their promises.

Take the large health systems’ claim that hospital consolidation and buying up physician practices would benefit consumers with cheaper prices from coordinated services and other unspecified savings. A major study of California hospital mergers found just the opposite…This finding seems obvious to any of us who has the choice of shopping at Walmart or Target or Costco.

Logic aside, some legislators believe that having the government take over medical care would solve our access and cost problems. Single payer means no competition whatsoever. The single payer plans (H.R. 1384 and S. 1804) that abolish private insurance leave patients with an empty choice…

Realistically, these single payer bills make it financially unfeasible for physicians to privately contract with patients. Thus, only well-heeled patients, along with independently wealthy doctors, can buy their way out of the system.”

Source: Hoaxes, Scams, and Your Medical Care – AAPS | Association of American Physicians and Surgeons

Posted in Access to healthcare, Affordable Care Act (ObamaCare), Direct-Pay Medicine, Doctor-Patient Relationship, Economic Issues, Employee Benefits, Employer-Sponsored Health Plans, Government Regulations, Health Insurance, Health Savings Accounts (HSA's), Healthcare financing, Patient Choice, Policy Issues, primary care, Tax Policy, Uncategorized

Congress and the IRS have stranded patients in SwampCare


Why can’t patients use their HSAs – supposedly their own money – to pay DPC fees? Because the IRS says they can’t. Not only that, if they have a DPC membership, they can’t even make a contribution to their HSA.

Congress was considering a simple bill to fix that – H.R. 365. But on the way to the House Ways and Means Committee, provisions were sneaked in, with very limited time to comment, and the bill number was changed to H.R. 6317. Some things from the Affordable Care Act (ACA) were inserted, along with provisions that independent DPC doctors said would favor huge corporate entities – purveyors of big-box medicine – that want to dominate the market. The government would micromanage what a DPC could or could not offer, based on the AMA’s copyrighted procedure codes, and cap the fee that the DPC could charge – not just the amount that could be paid from an HSA. It would allow only Direct Primary Care. It would not allow Direct Patient Care arrangements with specialists; for example, a direct-care agreement with an endocrinologist to manage diabetes would not qualify. Then the bill was incorporated into H.R. 6199, with some of the objectionable features removed, thanks to patients and doctors who spoke out. We’ll see what emerges from the sausage factory.

Read more at


 

https://mobile.wnd.com/2018/07/congress-and-the-irs-have-stranded-patients-in-swampcare/

Posted in Economic Issues, Government Regulations, Influence peddling, Medical Costs, medical inflation, Organizational structure, Policy Issues, Price Tansparency, Uncategorized

Government-Enabled Kickbacks Escalate Medical Prices, Worsen Shortages, Stifle Innovation | PressReleasePoint


While there are more than 600 GPOs in various industries, only a few GPOs dominate the medical market,” Dr. Singleton writes. “The current fee structure raises an obvious conflict of interest: … since vendors pay the fees as a percentage of the product cost, the higher the price, the higher the GPOs’ fees.”

http://www.pressreleasepoint.com/government-enabled-kickbacks-escalate-medical-prices-worsen-shortages-stifle-innovation

Posted in Access to healthcare, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relationship, Economic Issues, government incompetence, Government Regulations, Healthcare financing, Medical Costs, Medical Practice Models, Medicare, News From Washington, Organizational structure, Patient Choice, Patient-centered Care, Policy Issues, primary care, Quality, Reforming Medicare, Third-Party Free Practices, Uncategorized

Is CMS “DPC” model headed wrong direction?

The RFI goes on to explain the CMS vision of, “direct provider contracting (DPC), through which CMS would directly contract with Medicare providers.” Obviously this interpretation of “DPC” turns the true meaning of Direct Patient Care on its head.

https://mailchi.mp/aapsonline/cms-dpc-model?e=7be491a5e2

Posted in Access to healthcare, American Exceptionalism, Economic Issues, Entrepreneurs, Free-Market, Government Regulations, Independent Physicians, Medical conditions and illness, Medical Practice Models, Organizational structure, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Prevention, Protocols, Quality, Technology, Uncategorized

Death of the Great Laboratory of Clinical Medical Science – Private Practice

gianoli-0x150
Dr. Gerald Gianoli

People may ask, “How is it that no one in the UK-NHS was able to help her, but a guy in private practice in Louisiana could?” Such people have been conditioned to believe that government or universities are the sole source of innovation. This is far removed from reality.

Throughout the last 70 years, the U.S. has been the greatest mover and shaker in the world of medicine. Most major medical innovations have either been born or significantly developed here. And, many of the major innovations have come from small private practices—certainly not from the government. Innovative changes do not come from out of our universities—they come from individuals who work at our universities. However, true radical, transformative innovations have often come from private practices.

 

by Gerard J. Gianoli, M.D. http://EarAndBalance.net Free-market capitalism has brought unimaginable innovations to mankind in the last 200 years, more so than any other economic system in the history of the world: airplanes, telephones, personal…

Source: Death of the Great Laboratory of Clinical Medical Science – Private Practice

Posted in Access to healthcare, Affordable Care Act (ObamaCare), British National Health Service, Canadian Health System, Consumer-Driven Health Care, Doctor-Patient Relations, Doctor-Patient Relationship, Economic Issues, Free Society, Government Spending, Health Insurance, Individual ObamaCare Market, Influence peddling, Liberty, Medical Costs, Medical Practice Models, Medicare, National Debt, Patient Choice, Policy Issues, Price Tansparency, Progressivism, Quality, Reforming Medicaid, Reforming Medicare, Rule of Law, Tax Policy, U.S. Constitution

AAPS — Wait Till It’s Free

Wait Till It's FREE

CLICK HERE to watch the entire film online now.

AAPS — Wait Till It’s Free.